| NPI | 1932819539 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG61377794)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: WA 61376706)  | 
| Enumeration Date | 2022-12-05 | 
| Last Update Date | 2022-12-05 |